MEDICARE: SIMAH AKPAN-SMART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	011538	TX

General Provider Information

NPI Number	:	1750563466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMAH AKPAN-SMART

Provider Business Mailing Address
First Line	:	19227 DESERT CALICO LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-2561
Country	:	US
Telephone Number	:	832-595-0336
Fax Number	:	832-363-1893

Provider Business Practice Location Address
First Line	:	19227 DESERT CALICO LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-2561
Country	:	US
Telephone Number	:	832-595-0336
Fax Number	:	832-363-1893

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. SIMAH AKPAN-SMART
Credential	:	RN
Telephone Number	:	832-595-0336

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	03/03/2008

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